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The effectiveness of computerized cognitive behavioural therapy in routine care

Lookup NU author(s): Dr Kate Cavanagh

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Abstract

Objectives and design. The efficacy of a Computerized Cognitive Behavioural Therapy (CCBT) package, Beating the Blues, has been demonstrated in a large randomized controlled trial. The current study tests the generalizability of this finding in a naturalistic non-randomized trial. Method. 219 patients with anxiety and/or depression were recruited to receive CCBT in routine care. The Clinical Outcomes in Routine Evaluation-Outcome Measure (CORE-OM) and Work and Social Adjustment scale (WSA) were administered pre-treatment, immediately on completing treatment and at 6 months post-treatment. Single-item self-report measures of anxiety and depression were also collected during each treatment session. Results. Completer and intention-to-treat analysis demonstrated statistically and clinically significant improvements on the CORE-OM, WSA and in self-reported anxiety and depression. Intention-to-treat analysis indicated an average 0.29-point drop on the CORE-OM, equating to an uncontrolled pre-post effect size of 0.50. Research completers achieved an average 0.61-point drop equating to an uncontrolled pre-post size of 1.00 on the same measure. Where data was available (18%), these benefits were maintained at week 32 (6 months follow-up). Conclusion. CCBT can be an effective first line tool within a stepped care framework for the management of common mental health problems. © 2006 The British Psychological Society.

Publication metadata

Author(s): Cavanagh K, Shapiro DA, Van Den Berg S, Swain S, Barkham M, Proudfoot J

Publication type: Article

Publication status: Published

Journal: British Journal of Clinical Psychology

Year: 2006

Volume: 45

Issue: 4

Pages: 499-514

ISSN (print): 0144-6657

ISSN (electronic):

Publisher: The British Psychological Society

URL: http://dx.doi.org/10.1348/014466505X84782

DOI: 10.1348/014466505X84782

PubMed id: 17076960

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